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<#FormHiddenArea></#FormHiddenArea><div id="FormContent" style="width:100%;height:calc(100% - 50px);overflow-y:auto;background-color:white;margin-bottom:50px;"><div id="SDNotice" style="margin:0 auto;width:80%;"></div><div style="margin:0 10px;width:90%;height:100%;"><div class="itemCat" id="Title0" onclick="objScreen.toggle('基本信息')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;基本信息</div><div title="基本信息"><p title="适用的ICD-10编码与疾病名称" class="itemsubCat">适用的ICD-10编码与疾病名称</p><div class="itemTR" id="1463341876567359489_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>质控医师</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341876567359489" itemCode="CM-0-1-1-1"><a id="1463341876567359489_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341876567359489_Note"></span></div><div class="itemTR" id="1463341878744203265_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>质控护士</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341878744203265" itemCode="CM-0-1-1-2"><a id="1463341878744203265_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341878744203265_Note"></span></div><div class="itemTR" id="1463341880845549569_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>主治医师</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341880845549569" itemCode="CM-0-1-1-3"><a id="1463341880845549569_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341880845549569_Note"></span></div><div class="itemTR" id="1463341883097890818_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>责任护士</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341883097890818" itemCode="CM-0-1-1-4"><a id="1463341883097890818_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341883097890818_Note"></span></div><div class="itemTR" id="1463341885702553602_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>上报科室</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341885702553602" itemCode="CM-0-1-1-5"><a id="1463341885702553602_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341885702553602_Note"></span></div><div class="itemTR" id="1463341887799705601_Row" dic='[]'><div style="display:inline-block;width:35%;" title="caseId" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者病案号</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341887799705601" itemCode="caseId"><a id="1463341887799705601_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341887799705601_Note"></span></div><div class="itemTR" id="1463341890983182338_Row" dic='[]'><div style="display:inline-block;width:35%;" title="IDCard" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者身份证号</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341890983182338" itemCode="IDCard"><a id="1463341890983182338_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341890983182338_Note"></span></div><div class="itemTR" id="1463341894200213505_Row" dic='[{"formItemId":1463341894200213505,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343154739560449,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463341894200213505,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343155540672514,"indNo":2,"isActive":1,"desc":"Z37.0 单一活产"},{"formItemId":1463341894200213505,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343156325007362,"indNo":3,"isActive":1,"desc":"Z37.1 单一死产"},{"formItemId":1463341894200213505,"isDefault":0,"updateDate":1706076726000,"code":"c","id":1463343157168062466,"indNo":4,"isActive":1,"desc":"Z37.2 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class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341894200213505" itemCode="CM-0-1-3-1"><a id="1463341894200213505_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341894200213505_Note"></span></div><div class="itemTR" id="1463341896330919938_Row" dic='[{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343163094614017,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"1","id":1463343164814278658,"indNo":2,"isActive":1,"desc":"Z37.000单一活产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"2","id":1463343165648945154,"indNo":3,"isActive":1,"desc":"Z37.000x001单胎活产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"3","id":1463343166429085697,"indNo":4,"isActive":1,"desc":"Z37.001人工授精，单胎活产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"4","id":1463343167226003457,"indNo":5,"isActive":1,"desc":"Z37.002试管婴儿，单胎活产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"5","id":1463343168010338305,"indNo":6,"isActive":1,"desc":"Z37.100单一死产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"6","id":1463343168782090241,"indNo":7,"isActive":1,"desc":"Z37.100x002单胎死产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"7","id":1463343169591590914,"indNo":8,"isActive":1,"desc":"Z37.200双胎，均为活产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"8","id":1463343170380120066,"indNo":9,"isActive":1,"desc":"Z37.200x003双胎活产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"9","id":1463343171239952386,"indNo":10,"isActive":1,"desc":"Z37.201单卵双胎活产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"10","id":1463343172049453057,"indNo":11,"isActive":1,"desc":"Z37.202双卵双胎活产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"11","id":1463343172858953729,"indNo":12,"isActive":1,"desc":"Z37.203人工授精，双胎活产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"12","id":1463343173727174657,"indNo":13,"isActive":1,"desc":"Z37.204试管婴儿，双胎活产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"13","id":1463343174561841154,"indNo":14,"isActive":1,"desc":"Z37.300双胎，一为活产，一为死产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"14","id":1463343175413284865,"indNo":15,"isActive":1,"desc":"Z37.300x001双胎,一胎活产,一胎死产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"15","id":1463343176185036802,"indNo":16,"isActive":1,"desc":"Z37.301双胎，一胎活产，一胎葡萄胎"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"16","id":1463343176969371650,"indNo":17,"isActive":1,"desc":"Z37.302人工授精，一胎活产，一胎死产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"17","id":1463343177833398274,"indNo":18,"isActive":1,"desc":"Z37.303试管婴儿，一胎活产，一胎死产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"18","id":1463343178710007809,"indNo":19,"isActive":1,"desc":"Z37.400双胎，均为死产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"19","id":1463343179502731266,"indNo":20,"isActive":1,"desc":"Z37.400x001双胎死产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"20","id":1463343180287066113,"indNo":21,"isActive":1,"desc":"Z37.500多胎产，均为活产，其他的"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"21","id":1463343181079789569,"indNo":22,"isActive":1,"desc":"Z37.500x001多胎活产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"22","id":1463343182916894722,"indNo":23,"isActive":1,"desc":"Z37.501三胎活产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"23","id":1463343183709618177,"indNo":24,"isActive":1,"desc":"Z37.502试管婴儿，三胎活产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"24","id":1463343184531701761,"indNo":25,"isActive":1,"desc":"Z37.600多胎产，某些为活产，其他的"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"25","id":1463343185332813826,"indNo":26,"isActive":1,"desc":"Z37.600x001多胎产,某些为活产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"26","id":1463343186108760065,"indNo":27,"isActive":1,"desc":"Z37.600x011三胎妊娠，二胎死产"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"27","id":1463343186893094913,"indNo":28,"isActive":1,"desc":"Z37.700多胎产，均为死产，其他的"},{"formItemId":1463341896330919938,"isDefault":0,"updateDate":1706076726000,"code":"28","id":1463343187761315842,"indNo":29,"isActive":1,"desc":"Z37.700x001多胎产死产"}]'><div style="display:inline-block;width:35%;" title="CM-0-1-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院诊断ICD-10六位临床扩展编码与名称</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341896330919938" itemCode="CM-0-1-3-2"><a id="1463341896330919938_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341896330919938_Note"></span></div><div class="itemTR" id="1463341898432266241_Row" dic='[{"formItemId":1463341898432266241,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343189590032385,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463341898432266241,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343190437281793,"indNo":2,"isActive":1,"desc":"74.0x00 古典式剖宫产"},{"formItemId":1463341898432266241,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343191255171074,"indNo":3,"isActive":1,"desc":"74.0x00x001 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dic='[{"formItemId":1463341901825458177,"isDefault":0,"updateDate":1706076726000,"code":"y","matchRule":"","updateUser":"admin","id":1463343203070525442,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463341901825458177,"isDefault":1,"updateDate":1706076726000,"code":"n","matchRule":"","updateUser":"admin","id":1463343203871637505,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-0-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否出院后31天内重复住院</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463341901825458177" itemCode="CM-0-1-5"></div><a id="1463341901825458177_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341901825458177_Note"></span></div><p title="相关日期时间信息" class="itemsubCat">相关日期时间信息</p><div class="itemTR" id="1463341903926804481_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341903926804481" itemCode="CM-0-2-1-1"><a id="1463341903926804481_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341903926804481_Note"></span></div><div class="itemTR" id="1463341906044928002_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者体重（kg）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341906044928002" itemCode="CM-0-2-1-3"><a id="1463341906044928002_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341906044928002_Note"></span></div><div class="itemTR" id="1463341908171440130_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者身高（cm）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341908171440130" itemCode="CM-0-2-1-5"><a id="1463341908171440130_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341908171440130_Note"></span></div><div class="itemTR" id="1463341910260203521_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-6" class="itemDescTD">新生儿出生体重（克）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341910260203521" itemCode="CM-0-2-1-6"><a id="1463341910260203521_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341910260203521_Note"></span></div><div class="itemTR" id="1463341912579653634_Row" dic='[{"formItemId":1463341912579653634,"isDefault":0,"updateDate":1706076726000,"code":"UTD","id":1463343205712936961,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CS-0-2-2-1" class="itemDescTD">末次月经日期是否确定</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463341912579653634" itemCode="CS-0-2-2-1"></div><a id="1463341912579653634_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341912579653634_Note"></span></div><div class="itemTR" id="1463341915897348097_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CS-0-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>末次月经日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341915897348097" itemCode="CS-0-2-2"><a id="1463341915897348097_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341915897348097_Note"></span></div><div class="itemTR" id="1463341918103552002_Row" dic='[{"formItemId":1463341918103552002,"isDefault":0,"updateDate":1706076726000,"code":"UTD","id":1463343207277412353,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-1" class="itemDescTD">到达本院急诊或者门诊日期时间是否确定</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463341918103552002" itemCode="CM-0-2-3-1"></div><a id="1463341918103552002_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341918103552002_Note"></span></div><div class="itemTR" id="1463341920284590082_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到达本院急诊或者门诊日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341920284590082" itemCode="CM-0-2-3-2"><a id="1463341920284590082_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341920284590082_Note"></span></div><div class="itemTR" id="1463341922432073730_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341922432073730" itemCode="CM-0-2-4-1"><a id="1463341922432073730_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341922432073730_Note"></span></div><div class="itemTR" id="1463341924629889025_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341924629889025" itemCode="CM-0-2-4-2"><a id="1463341924629889025_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341924629889025_Note"></span></div><div class="itemTR" id="1463341926794149889_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术开始（切皮）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341926794149889" itemCode="CM-0-2-6-1"><a id="1463341926794149889_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341926794149889_Note"></span></div><div class="itemTR" id="1463341930019569666_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术结束（缝皮结束）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341930019569666" itemCode="CM-0-2-6-2"><a id="1463341930019569666_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341930019569666_Note"></span></div><p title="其他相关信息" class="itemsubCat">其他相关信息</p><div class="itemTR" id="1463341932162859009_Row" dic='[{"formItemId":1463341932162859009,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343208841887745,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463341932162859009,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343209747857409,"indNo":2,"isActive":1,"desc":"城镇职工基本医疗保险"},{"formItemId":1463341932162859009,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343210687381505,"indNo":3,"isActive":1,"desc":"城镇居民基本医疗保险"},{"formItemId":1463341932162859009,"isDefault":0,"updateDate":1706076726000,"code":"c","id":1463343211475910658,"indNo":4,"isActive":1,"desc":"新型农村合作医疗"},{"formItemId":1463341932162859009,"isDefault":0,"updateDate":1706076726000,"code":"d","id":1463343212264439810,"indNo":5,"isActive":1,"desc":"贫困救助"},{"formItemId":1463341932162859009,"isDefault":0,"updateDate":1706076726000,"code":"e","id":1463343213052968961,"indNo":6,"isActive":1,"desc":"商业医疗保险"},{"formItemId":1463341932162859009,"isDefault":0,"updateDate":1706076726000,"code":"f","id":1463343213870858241,"indNo":7,"isActive":1,"desc":"公费医疗"},{"formItemId":1463341932162859009,"isDefault":0,"updateDate":1706076726000,"code":"g","id":1463343214676164610,"indNo":8,"isActive":1,"desc":"全自费"},{"formItemId":1463341932162859009,"isDefault":0,"updateDate":1706076726000,"code":"h","id":1463343215460499458,"indNo":9,"isActive":1,"desc":"其他社会保险（ 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dic='[{"formItemId":1463341934423588865,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343218086133761,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463341934423588865,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343218862080002,"indNo":2,"isActive":1,"desc":"门诊"},{"formItemId":1463341934423588865,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343219717718018,"indNo":3,"isActive":1,"desc":"急诊"},{"formItemId":1463341934423588865,"isDefault":0,"updateDate":1706076726000,"code":"c","id":1463343220678213633,"indNo":4,"isActive":1,"desc":"其他医疗机构转入"},{"formItemId":1463341934423588865,"isDefault":0,"updateDate":1706076726000,"code":"d","id":1463343222947332098,"indNo":5,"isActive":1,"desc":"院内其他临床科室转入"},{"formItemId":1463341934423588865,"isDefault":0,"updateDate":1706076726000,"code":"e","id":1463343224067211265,"indNo":6,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>收入住院途径</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341934423588865" itemCode="CM-0-3-2"><a id="1463341934423588865_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341934423588865_Note"></span></div><div class="itemTR" id="1463341938315902977_Row" dic='[{"formItemId":1463341938315902977,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343225656852482,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463341938315902977,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343226441187330,"indNo":2,"isActive":1,"desc":"救护车"},{"formItemId":1463341938315902977,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343227225522178,"indNo":3,"isActive":1,"desc":"出租车"},{"formItemId":1463341938315902977,"isDefault":0,"updateDate":1706076726000,"code":"c","id":1463343228014051329,"indNo":4,"isActive":1,"desc":"私家车"},{"formItemId":1463341938315902977,"isDefault":0,"updateDate":1706076726000,"code":"d","id":1463343228806774785,"indNo":5,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到院交通工具</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341938315902977" itemCode="CM-0-3-3"><a id="1463341938315902977_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341938315902977_Note"></span></div></div><div class="itemCat" id="Title1" onclick="objScreen.toggle('CS-1剖宫产术前评估')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CS-1剖宫产术前评估</div><div title="CS-1剖宫产术前评估"><p title="WHO统一剖宫产分类(Robson分类法)" class="itemsubCat">WHO统一剖宫产分类(Robson分类法)</p><div class="itemTR" id="1463341941998501889_Row" dic='[{"formItemId":1463341941998501889,"isDefault":0,"updateDate":1706076726000,"code":"y","matchRule":"","updateUser":"admin","id":1463343230450941953,"indNo":1,"isActive":1,"keyword":"产1次","desc":"初产"},{"formItemId":1463341941998501889,"isDefault":0,"updateDate":1706076726000,"code":"n","matchRule":"","updateUser":"admin","id":1463343231373688833,"indNo":2,"isActive":1,"keyword":"产(2|3|4|5)次","desc":"经产"}]'><div style="display:inline-block;width:35%;" title="CS-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>产次</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463341941998501889" itemCode="CS-1-1-1"></div><a id="1463341941998501889_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341941998501889_Note"></span></div><div class="itemTR" id="1463341944343117826_Row" dic='[{"formItemId":1463341944343117826,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343233009467393,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463341944343117826,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343233823162369,"indNo":2,"isActive":1,"desc":"只有一次剖宫产史"},{"formItemId":1463341944343117826,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343234607497217,"indNo":3,"isActive":1,"desc":"有2次及以上剖宫产史"},{"formItemId":1463341944343117826,"isDefault":0,"updateDate":1706076726000,"code":"c","id":1463343235400220674,"indNo":4,"isActive":1,"desc":"无剖宫产史"}]'><div style="display:inline-block;width:35%;" title="CS-1-1-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>有无剖宮产史</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341944343117826" itemCode="CS-1-1-8"><a id="1463341944343117826_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341944343117826_Note"></span></div><div class="itemTR" id="1463341946498990082_Row" dic='[{"formItemId":1463341946498990082,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343236968890370,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463341946498990082,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343237757419521,"indNo":2,"isActive":1,"desc":"自然临产"},{"formItemId":1463341946498990082,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343238533365762,"indNo":3,"isActive":1,"desc":"引产临产"},{"formItemId":1463341946498990082,"isDefault":0,"updateDate":1706076726000,"code":"c","id":1463343239422558209,"indNo":4,"isActive":1,"desc":"临产前剖宫产"}]'><div style="display:inline-block;width:35%;" title="CS-1-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临产方式</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341946498990082" itemCode="CS-1-1-3"><a id="1463341946498990082_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341946498990082_Note"></span></div><div class="itemTR" id="1463341949917347842_Row" dic='[{"formItemId":1463341949917347842,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343240987033601,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463341949917347842,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343241775562754,"indNo":2,"isActive":1,"desc":"足月"},{"formItemId":1463341949917347842,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343242543120386,"indNo":3,"isActive":1,"desc":"早产"}]'><div style="display:inline-block;width:35%;" title="CS-1-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>孕周</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341949917347842" itemCode="CS-1-1-4"><a id="1463341949917347842_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341949917347842_Note"></span></div><div class="itemTR" id="1463341952115163137_Row" dic='[{"formItemId":1463341952115163137,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343244103401473,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463341952115163137,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343244883542018,"indNo":2,"isActive":1,"desc":"头位"},{"formItemId":1463341952115163137,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343245651099649,"indNo":3,"isActive":1,"desc":"臀位"},{"formItemId":1463341952115163137,"isDefault":0,"updateDate":1706076726000,"code":"c","id":1463343246494154753,"indNo":4,"isActive":1,"desc":"横位"}]'><div style="display:inline-block;width:35%;" title="CS-1-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>胎位</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341952115163137" itemCode="CS-1-1-5"><a id="1463341952115163137_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341952115163137_Note"></span></div><div class="itemTR" id="1463341954342338562_Row" dic='[{"formItemId":1463341954342338562,"isDefault":0,"updateDate":1706076726000,"code":"def","matchRule":"","updateUser":"admin","id":1463343249354670081,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463341954342338562,"isDefault":0,"updateDate":1706076726000,"code":"a","matchRule":"","updateUser":"admin","id":1463343250172559362,"indNo":2,"isActive":1,"keyword":"单胎","desc":"单胎"},{"formItemId":1463341954342338562,"isDefault":0,"updateDate":1706076726000,"code":"b","matchRule":"","updateUser":"admin","id":1463343251082723330,"indNo":3,"isActive":1,"keyword":"(双|三|多)胎","desc":"多胎"}]'><div style="display:inline-block;width:35%;" title="CS-1-1-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>胎儿数量</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341954342338562" itemCode="CS-1-1-6"><a id="1463341954342338562_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341954342338562_Note"></span></div><div class="itemTR" id="1463341957089607681_Row" 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style="display:inline-block;width:35%;" title="CS-2-1-1-f" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>双胎或多胎妊娠</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341994884481026" itemCode="CS-2-1-1-f"><a id="1463341994884481026_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341994884481026_Note"></span></div><div class="itemTR" id="1463341997027770370_Row" 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style="display:inline-block;width:35%;" title="CS-2-1-1-g" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>脐带脱垂</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463341997027770370" itemCode="CS-2-1-1-g"><a id="1463341997027770370_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463341997027770370_Note"></span></div><div class="itemTR" id="1463341999414329345_Row" 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style="display:inline-block;width:35%;" title="CS-2-1-1-i" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>孕妇存在严重合并症和并发症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342001524064257" itemCode="CS-2-1-1-i"><a id="1463342001524064257_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342001524064257_Note"></span></div><div class="itemTR" id="1463342003625410561_Row" 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class="itemDescTD"><span name="isNeeded" style="color:red">*</span>生殖道严重的感染性疾病</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342012123070465" itemCode="CS-2-1-1-m"><a id="1463342012123070465_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342012123070465_Note"></span></div><div class="itemTR" id="1463342014224416769_Row" 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style="color:red">*</span>选用“特殊使用级抗菌药物”或者其他类抗菌药物的因素</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342049846640641" itemCode="CM-1-3-1-2"><a id="1463342049846640641_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342049846640641_Note"></span></div><div class="itemTR" id="1463342051943792641_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选用“特殊使用级抗菌药物”或者其他类抗菌药物的因素填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342051943792641" itemCode="CM-1-3-1-1"><a id="1463342051943792641_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342051943792641_Note"></span></div><div class="itemTR" id="1463342056171651074_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术前使用首剂抗菌药物起始时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342056171651074" itemCode="CM-1-4-1"><a id="1463342056171651074_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342056171651074_Note"></span></div><p title="术中追加抗菌药物" class="itemsubCat">术中追加抗菌药物</p><div class="itemTR" id="1463342058398826498_Row" dic='[{"formItemId":1463342058398826498,"isDefault":0,"updateDate":1706076726000,"code":"y","id":1463343512601772033,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463342058398826498,"isDefault":0,"updateDate":1706076726000,"code":"n","id":1463343513386106882,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术时间是否≥3小时</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463342058398826498" itemCode="CM-1-5-1"></div><a id="1463342058398826498_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342058398826498_Note"></span></div><div class="itemTR" id="1463342060659556353_Row" dic='[{"formItemId":1463342060659556353,"isDefault":0,"updateDate":1706076726000,"code":"y","id":1463343515017691137,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463342060659556353,"isDefault":0,"updateDate":1706076726000,"code":"n","id":1463343515827191809,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否术中追加抗菌药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463342060659556353" itemCode="CM-1-5-2"></div><a id="1463342060659556353_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342060659556353_Note"></span></div><div class="itemTR" id="1463342062781874178_Row" dic='[{"formItemId":1463342062781874178,"isDefault":0,"updateDate":1706076726000,"code":"y","id":1463343517509107713,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463342062781874178,"isDefault":0,"updateDate":1706076726000,"code":"n","id":1463343518331191298,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术中出血量是否≥1500ml</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463342062781874178" itemCode="CM-1-5-3"></div><a id="1463342062781874178_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342062781874178_Note"></span></div><div class="itemTR" id="1463342064933552130_Row" dic='[{"formItemId":1463342064933552130,"isDefault":0,"updateDate":1706076726000,"code":"y","id":1463343519899860993,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463342064933552130,"isDefault":0,"updateDate":1706076726000,"code":"n","id":1463343520680001538,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否术中追加抗菌药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463342064933552130" itemCode="CM-1-5-4"></div><a id="1463342064933552130_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342064933552130_Note"></span></div><div class="itemTR" id="1463342067085230081_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后抗菌药物停止使用时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342067085230081" itemCode="CM-1-6-1"><a id="1463342067085230081_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342067085230081_Note"></span></div><div class="itemTR" id="1463342071317282817_Row" dic='[{"formItemId":1463342071317282817,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343527483162626,"indNo":1,"isActive":1,"desc":"在主要或次要诊断中术前有感染或具备潜在高危感染因素的患者"},{"formItemId":1463342071317282817,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343529777446914,"indNo":2,"isActive":1,"desc":"术前48小时内接受抗菌药物治疗的患者，术后仍需继续使用"},{"formItemId":1463342071317282817,"isDefault":0,"updateDate":1706076726000,"code":"c","id":1463343530612113410,"indNo":3,"isActive":1,"desc":"术后48小时之内，被确诊为感染者并行治疗的患者"},{"formItemId":1463342071317282817,"isDefault":0,"updateDate":1706076726000,"code":"d","id":1463343531450974210,"indNo":4,"isActive":1,"desc":"临床医师认为有继续使用抗菌药物治疗的适应症的患者，并经上级医师认定"},{"formItemId":1463342071317282817,"isDefault":0,"updateDate":1706076726000,"code":"UTD","id":1463343533476823042,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-1-6-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后48小时之后继续使用的原因</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463342071317282817" itemCode="CM-1-6-3-2"></div><a id="1463342071317282817_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342071317282817_Note"></span></div></div><div class="itemCat" id="Title4" onclick="objScreen.toggle('CS-4 新生儿Apgar评分')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CS-4 新生儿Apgar评分</div><div title="CS-4 新生儿Apgar评分"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463342073452183554_Row" dic='[{"formItemId":1463342073452183554,"isDefault":1,"updateDate":1706076726000,"code":"y","matchRule":"","updateUser":"admin","id":1463343536576413698,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463342073452183554,"isDefault":0,"updateDate":1706076726000,"code":"n","matchRule":"","updateUser":"admin","id":1463343537436246018,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CS-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施新生儿Apgar评分</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463342073452183554" itemCode="CS-4-1"></div><a id="1463342073452183554_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342073452183554_Note"></span></div><div class="itemTR" id="1463342075574501377_Row" dic='[{"formItemId":1463342075574501377,"isDefault":1,"updateDate":1706076726000,"code":"a","matchRule":"","updateUser":"admin","id":1463343539130744833,"indNo":1,"isActive":1,"keyword":"","desc":"出生后1min"},{"formItemId":1463342075574501377,"isDefault":1,"updateDate":1706076726000,"code":"b","matchRule":"","updateUser":"admin","id":1463343539936051201,"indNo":2,"isActive":1,"keyword":"","desc":"出生后5min"},{"formItemId":1463342075574501377,"isDefault":1,"updateDate":1706076726000,"code":"c","matchRule":"","updateUser":"admin","id":1463343543090167809,"indNo":3,"isActive":1,"keyword":"","desc":"出生后10min"},{"formItemId":1463342075574501377,"isDefault":0,"updateDate":1706076726000,"code":"UTD","matchRule":"","updateUser":"admin","id":1463343543882891265,"indNo":4,"isActive":1,"keyword":"","desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CS-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>新生儿出生后1、5、10min,Apgar评分值</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463342075574501377" itemCode="CS-4-2"></div><a id="1463342075574501377_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342075574501377_Note"></span></div><div class="itemTR" id="1463342077675847682_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CS-4-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生后1min,Apgar评分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342077675847682" itemCode="CS-4-3-1"><a title="Apgar评分表" id="20_Score"href="javascript:" style="font-size:12px;margin-left:12px;color:blue;" class="score-table">评分工具计算</a><a id="1463342077675847682_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342077675847682_Note"></span></div><div class="itemTR" id="1463342079777193985_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CS-4-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生后5min,Apgar评分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342079777193985" itemCode="CS-4-3-2"><a title="Apgar评分表" id="20_Score"href="javascript:" style="font-size:12px;margin-left:12px;color:blue;" class="score-table">评分工具计算</a><a id="1463342079777193985_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342079777193985_Note"></span></div><div class="itemTR" id="1463342083434627074_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CS-4-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生后10min,Apgar评分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342083434627074" itemCode="CS-4-3-3"><a title="Apgar评分表" id="20_Score"href="javascript:" style="font-size:12px;margin-left:12px;color:blue;" class="score-table">评分工具计算</a><a id="1463342083434627074_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342083434627074_Note"></span></div><div class="itemTR" id="1463342085594693633_Row" dic='[{"formItemId":1463342085594693633,"isDefault":0,"updateDate":1706076726000,"code":"y","matchRule":"","updateUser":"admin","id":1463343545824854018,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463342085594693633,"isDefault":1,"updateDate":1706076726000,"code":"n","matchRule":"","updateUser":"admin","id":1463343546705657857,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CS-4-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>新生儿是否要复苏</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463342085594693633" itemCode="CS-4-4-1"></div><a id="1463342085594693633_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342085594693633_Note"></span></div><div class="itemTR" id="1463342087721205762_Row" dic='[{"formItemId":1463342087721205762,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343548421128194,"indNo":1,"isActive":1,"desc":"出生后15min"},{"formItemId":1463342087721205762,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343549515841537,"indNo":2,"isActive":1,"desc":"出生后20min"},{"formItemId":1463342087721205762,"isDefault":0,"updateDate":1706076726000,"code":"UTD","id":1463343550295982081,"indNo":3,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CS-4-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>新生儿出生后15、20min,Apgar评分值</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463342087721205762" itemCode="CS-4-4-2"></div><a id="1463342087721205762_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342087721205762_Note"></span></div><div class="itemTR" id="1463342089864495106_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CS-4-4-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生后15min,Apgar评分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342089864495106" itemCode="CS-4-4-2-1"><a id="1463342089864495106_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342089864495106_Note"></span></div><div class="itemTR" id="1463342092175556610_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CS-4-4-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生后20min,Apgar评分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342092175556610" itemCode="CS-4-4-2-2"><a id="1463342092175556610_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342092175556610_Note"></span></div><div class="itemTR" id="1463342094293680129_Row" dic='[{"formItemId":1463342094293680129,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343551944343554,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463342094293680129,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343552762232833,"indNo":2,"isActive":1,"desc":"重度窒息"},{"formItemId":1463342094293680129,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343553588510722,"indNo":3,"isActive":1,"desc":"轻度窒息"},{"formItemId":1463342094293680129,"isDefault":0,"updateDate":1706076726000,"code":"c","id":1463343554360262658,"indNo":4,"isActive":1,"desc":"健康情况正常"}]'><div style="display:inline-block;width:35%;" title="CS-4-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生后5min新生儿Apgar评分的临床风险分层 </div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342094293680129" itemCode="CS-4-5-1"><a id="1463342094293680129_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342094293680129_Note"></span></div><div class="itemTR" id="1463342096428580866_Row" dic='[{"formItemId":1463342096428580866,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343556058955778,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463342096428580866,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343556864262146,"indNo":2,"isActive":1,"desc":"超低出生体重：出生体重＜1000克"},{"formItemId":1463342096428580866,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343557757648898,"indNo":3,"isActive":1,"desc":"极低出生体重：出生体重1000-1499克"},{"formItemId":1463342096428580866,"isDefault":0,"updateDate":1706076726000,"code":"c","id":1463343558575538178,"indNo":4,"isActive":1,"desc":"低出生体重1500-2499克"},{"formItemId":1463342096428580866,"isDefault":0,"updateDate":1706076726000,"code":"d","id":1463343559393427458,"indNo":5,"isActive":1,"desc":"正常体重：出生体重2500～3999克"},{"formItemId":1463342096428580866,"isDefault":0,"updateDate":1706076726000,"code":"e","id":1463343560244871170,"indNo":6,"isActive":1,"desc":"巨大儿：出生体重≥4000克"}]'><div style="display:inline-block;width:35%;" title="CS-4-5-2" class="itemDescTD">新生儿出生体重及分层</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342096428580866" itemCode="CS-4-5-2"><a id="1463342096428580866_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342096428580866_Note"></span></div><div class="itemTR" id="1463342098529927170_Row" dic='[{"formItemId":1463342098529927170,"isDefault":0,"updateDate":1706076726000,"code":"UTD","id":1463343561914204161,"indNo":1,"isActive":1,"desc":"不确定"},{"formItemId":1463342098529927170,"isDefault":0,"updateDate":1706076726000,"code":"y","id":1463343562795008002,"indNo":2,"isActive":1,"desc":"是"},{"formItemId":1463342098529927170,"isDefault":0,"updateDate":1706076726000,"code":"n","id":1463343563654840321,"indNo":3,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CS-4-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有脐带血气分析</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342098529927170" itemCode="CS-4-5-3"><a id="1463342098529927170_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342098529927170_Note"></span></div><div class="itemTR" id="1463342100681605122_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CS-4-5-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>脐带血气分析标本采集日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342100681605122" itemCode="CS-4-5-4"><a id="1463342100681605122_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342100681605122_Note"></span></div><div class="itemTR" id="1463342103537926145_Row" dic='[{"formItemId":1463342103537926145,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343565236092929,"indNo":1,"isActive":1,"desc":"pH值"},{"formItemId":1463342103537926145,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343566418886658,"indNo":2,"isActive":1,"desc":"PaCO₂"},{"formItemId":1463342103537926145,"isDefault":0,"updateDate":1706076726000,"code":"c","id":1463343568771891201,"indNo":3,"isActive":1,"desc":"PaO₂"},{"formItemId":1463342103537926145,"isDefault":0,"updateDate":1706076726000,"code":"d","id":1463343569782718465,"indNo":4,"isActive":1,"desc":"HCO₃"}]'><div style="display:inline-block;width:35%;" title="CS-4-5-5" class="itemDescTD">脐带血气分析值</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463342103537926145" itemCode="CS-4-5-5"></div><a id="1463342103537926145_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342103537926145_Note"></span></div><div class="itemTR" id="1463342105681215489_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CS-4-5-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>pH值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342105681215489" itemCode="CS-4-5-5-1"><a id="1463342105681215489_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342105681215489_Note"></span></div><div class="itemTR" id="1463342107870642178_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CS-4-5-5-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>PaCO₂(mmHg)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342107870642178" itemCode="CS-4-5-5-2"><a id="1463342107870642178_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342107870642178_Note"></span></div><div class="itemTR" id="1463342110211063810_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CS-4-5-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>PaO₂(mmHg)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342110211063810" itemCode="CS-4-5-5-3"><a id="1463342110211063810_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342110211063810_Note"></span></div><div class="itemTR" id="1463342112366936066_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CS-4-5-5-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>HCO₃(mmol/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342112366936066" itemCode="CS-4-5-5-4"><a id="1463342112366936066_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342112366936066_Note"></span></div></div><div class="itemCat" id="Title5" onclick="objScreen.toggle('CS-5 输血量')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CS-5 输血量</div><div title="CS-5 输血量"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463342114459893761_Row" dic='[{"formItemId":1463342114459893761,"isDefault":1,"updateDate":1706076726000,"code":"a","matchRule":"","updateUser":"admin","id":1463343571535937538,"indNo":1,"isActive":1,"keyword":"","desc":"实际量ml"},{"formItemId":1463342114459893761,"isDefault":0,"updateDate":1706076726000,"code":"b","matchRule":"","updateUser":"admin","id":1463343572496433154,"indNo":2,"isActive":1,"keyword":"","desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CS-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后24小时内出血量</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463342114459893761" itemCode="CS-5-1"></div><a id="1463342114459893761_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342114459893761_Note"></span></div><div class="itemTR" id="1463342116632543233_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CS-5-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后24小时内实际出血量（ml）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342116632543233" itemCode="CS-5-1-1"><a id="1463342116632543233_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342116632543233_Note"></span></div><div class="itemTR" id="1463342118733889538_Row" dic='[{"formItemId":1463342118733889538,"isDefault":1,"updateDate":1706076726000,"code":"a","matchRule":"","updateUser":"admin","id":1463343574316761090,"indNo":1,"isActive":1,"keyword":"","desc":"子宫收缩乏力"},{"formItemId":1463342118733889538,"isDefault":1,"updateDate":1706076726000,"code":"b","matchRule":"","updateUser":"admin","id":1463343576514576386,"indNo":2,"isActive":1,"keyword":"","desc":"胎盘因素"},{"formItemId":1463342118733889538,"isDefault":1,"updateDate":1706076726000,"code":"c","matchRule":"","updateUser":"admin","id":1463343577949028353,"indNo":3,"isActive":1,"keyword":"","desc":"子宫切口裂伤"},{"formItemId":1463342118733889538,"isDefault":1,"updateDate":1706076726000,"code":"d","matchRule":"","updateUser":"admin","id":1463343578980827137,"indNo":4,"isActive":1,"keyword":"","desc":"血管损伤"},{"formItemId":1463342118733889538,"isDefault":1,"updateDate":1706076726000,"code":"e","matchRule":"","updateUser":"admin","id":1463343579840659457,"indNo":5,"isActive":1,"keyword":"","desc":"凝血功能障碍"},{"formItemId":1463342118733889538,"isDefault":1,"updateDate":1706076726000,"code":"f","matchRule":"","updateUser":"admin","id":1463343580645965825,"indNo":6,"isActive":1,"keyword":"","desc":"其他"},{"formItemId":1463342118733889538,"isDefault":0,"updateDate":1706076726000,"code":"g","matchRule":"","updateUser":"admin","id":1463343581539352578,"indNo":7,"isActive":1,"keyword":"","desc":"无剖宫产产后出血可能的原因"}]'><div style="display:inline-block;width:35%;" title="CS-5-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>剖宫产产后出血可能的原因</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463342118733889538" itemCode="CS-5-2-1"></div><a id="1463342118733889538_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342118733889538_Note"></span></div><div class="itemTR" id="1463342120835235842_Row" dic='[{"formItemId":1463342120835235842,"isDefault":0,"updateDate":1706076726000,"code":"a","matchRule":"","updateUser":"admin","id":1463343583250628610,"indNo":1,"isActive":1,"keyword":"","desc":"实际量ml"},{"formItemId":1463342120835235842,"isDefault":1,"updateDate":1706076726000,"code":"b","matchRule":"","updateUser":"admin","id":1463343585083539457,"indNo":2,"isActive":1,"keyword":"","desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CS-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后24小时内输血量</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463342120835235842" itemCode="CS-5-3"></div><a id="1463342120835235842_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342120835235842_Note"></span></div><div class="itemTR" id="1463342126006812674_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CS-5-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后24小时内实际输血量（ml）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342126006812674" itemCode="CS-5-4"><a id="1463342126006812674_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342126006812674_Note"></span></div><div class="itemTR" id="1463342128124936193_Row" dic='[{"formItemId":1463342128124936193,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343586887090177,"indNo":1,"isActive":1,"desc":"子宫动脉上或下行支结扎"},{"formItemId":1463342128124936193,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343588837441538,"indNo":2,"isActive":1,"desc":"宫腔压迫（纱条或球囊）止血"},{"formItemId":1463342128124936193,"isDefault":0,"updateDate":1706076726000,"code":"c","id":1463343589714051073,"indNo":3,"isActive":1,"desc":"子宫卵巢动脉吻合支结扎"},{"formItemId":1463342128124936193,"isDefault":0,"updateDate":1706076726000,"code":"d","id":1463343590561300481,"indNo":4,"isActive":1,"desc":"Cho四边形缝合术"},{"formItemId":1463342128124936193,"isDefault":0,"updateDate":1706076726000,"code":"e","id":1463343592746532866,"indNo":5,"isActive":1,"desc":"B-Lynch缝合"},{"formItemId":1463342128124936193,"isDefault":0,"updateDate":1706076726000,"code":"f","id":1463343593535062017,"indNo":6,"isActive":1,"desc":"其他止血措施"},{"formItemId":1463342128124936193,"isDefault":0,"updateDate":1706076726000,"code":"g","id":1463343594331979778,"indNo":7,"isActive":1,"desc":"无需止血干预措施"}]'><div style="display:inline-block;width:35%;" title="CS-5-5" class="itemDescTD">止血干预措施的选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463342128124936193" itemCode="CS-5-5"></div><a id="1463342128124936193_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342128124936193_Note"></span></div></div><div class="itemCat" id="Title6" onclick="objScreen.toggle('CS-6 手术并发症与再次手术情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CS-6 手术并发症与再次手术情况</div><div title="CS-6 手术并发症与再次手术情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463342130234671106_Row" dic='[{"formItemId":1463342130234671106,"isDefault":0,"updateDate":1706076726000,"code":"y","matchRule":"","updateUser":"admin","id":1463343595913232386,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463342130234671106,"isDefault":1,"updateDate":1706076726000,"code":"n","matchRule":"","updateUser":"admin","id":1463343596743704577,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CS-6-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有剖宫产并发症</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463342130234671106" itemCode="CS-6-1-1"></div><a id="1463342130234671106_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342130234671106_Note"></span></div><div class="itemTR" id="1463342132361183233_Row" dic='[{"formItemId":1463342132361183233,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343598308179970,"indNo":1,"isActive":1,"desc":"产后出血"},{"formItemId":1463342132361183233,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343599134457857,"indNo":2,"isActive":1,"desc":"产褥期感染"},{"formItemId":1463342132361183233,"isDefault":0,"updateDate":1706076726000,"code":"c","id":1463343599960735745,"indNo":3,"isActive":1,"desc":"产科栓塞"},{"formItemId":1463342132361183233,"isDefault":0,"updateDate":1706076726000,"code":"d","id":1463343600740876289,"indNo":4,"isActive":1,"desc":"静脉血栓栓塞病"},{"formItemId":1463342132361183233,"isDefault":0,"updateDate":1706076726000,"code":"e","id":1463343601583931393,"indNo":5,"isActive":1,"desc":"胎盘和胎膜滞留不伴有出血"},{"formItemId":1463342132361183233,"isDefault":0,"updateDate":1706076726000,"code":"f","id":1463343602368266242,"indNo":6,"isActive":1,"desc":"产科手术伤口的感染"},{"formItemId":1463342132361183233,"isDefault":0,"updateDate":1706076726000,"code":"g","id":1463343603156795394,"indNo":7,"isActive":1,"desc":"产科伤口裂开"},{"formItemId":1463342132361183233,"isDefault":0,"updateDate":1706076726000,"code":"h","id":1463343603924353026,"indNo":8,"isActive":1,"desc":"其他并发症"}]'><div style="display:inline-block;width:35%;" title="CS-6-1-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>剖宫产并发症ICD.10编码</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463342132361183233" itemCode="CS-6-1-3-1"></div><a id="1463342132361183233_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342132361183233_Note"></span></div><div class="itemTR" id="1463342134521249794_Row" dic='[{"formItemId":1463342134521249794,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343605526577154,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463342134521249794,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343606302523394,"indNo":2,"isActive":1,"desc":"O72.0第三产程出血"},{"formItemId":1463342134521249794,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343607107829761,"indNo":3,"isActive":1,"desc":"O72.1其他的即刻产后出血"},{"formItemId":1463342134521249794,"isDefault":0,"updateDate":1706076726000,"code":"c","id":1463343608097685505,"indNo":4,"isActive":1,"desc":"O72.2延迟性和继发性产后出血"},{"formItemId":1463342134521249794,"isDefault":0,"updateDate":1706076726000,"code":"d","id":1463343608886214658,"indNo":5,"isActive":1,"desc":"O72.3产后凝血缺陷"}]'><div style="display:inline-block;width:35%;" title="CS-6-1-2-1-a" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>产后出血</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342134521249794" itemCode="CS-6-1-2-1-a"><a id="1463342134521249794_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342134521249794_Note"></span></div><div class="itemTR" id="1463342136765202434_Row" dic='[{"formItemId":1463342136765202434,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343610509410305,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463342136765202434,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343611348271105,"indNo":2,"isActive":1,"desc":"O86.4产褥期感染"},{"formItemId":1463342136765202434,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343612132605954,"indNo":3,"isActive":1,"desc":"其他:有对应诊断名称与ICD-10编码"}]'><div style="display:inline-block;width:35%;" title="CS-6-1-2-1-b" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>产褥期感染</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342136765202434" itemCode="CS-6-1-2-1-b"><a id="1463342136765202434_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342136765202434_Note"></span></div><div class="itemTR" id="1463342138849771521_Row" dic='[{"formItemId":1463342138849771521,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343613692887041,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463342138849771521,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343614477221889,"indNo":2,"isActive":1,"desc":"O88.0产科空气栓塞"},{"formItemId":1463342138849771521,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343615286722561,"indNo":3,"isActive":1,"desc":"O88.1羊水栓塞"},{"formItemId":1463342138849771521,"isDefault":0,"updateDate":1706076726000,"code":"c","id":1463343616058474497,"indNo":4,"isActive":1,"desc":"O88.2产科血凝块栓塞"},{"formItemId":1463342138849771521,"isDefault":0,"updateDate":1706076726000,"code":"d","id":1463343616834420737,"indNo":5,"isActive":1,"desc":"O88.3产科脓血性和脓毒性栓塞"},{"formItemId":1463342138849771521,"isDefault":0,"updateDate":1706076726000,"code":"e","id":1463343617622949889,"indNo":6,"isActive":1,"desc":"O88.4其他的产科块栓塞"}]'><div style="display:inline-block;width:35%;" title="CS-6-1-2-1-c" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>产科栓塞</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342138849771521" itemCode="CS-6-1-2-1-c"><a id="1463342138849771521_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342138849771521_Note"></span></div><div class="itemTR" id="1463342140930146306_Row" dic='[{"formItemId":1463342140930146306,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343619229368322,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463342140930146306,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343620147920897,"indNo":2,"isActive":1,"desc":"O22.3妊娠期深静脉血栓形成"}]'><div style="display:inline-block;width:35%;" title="CS-6-1-2-1-d" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>栓塞病</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463342140930146306" itemCode="CS-6-1-2-1-d"></div><a id="1463342140930146306_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342140930146306_Note"></span></div><div class="itemTR" id="1463342143031492610_Row" dic='[{"formItemId":1463342143031492610,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343621875974145,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463342143031492610,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343622677086210,"indNo":2,"isActive":1,"desc":"O73.0胎盘滞留不伴有出血"},{"formItemId":1463342143031492610,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343623469809666,"indNo":3,"isActive":1,"desc":"O73.1部分胎盘和胎膜滞留不伴有出血"}]'><div style="display:inline-block;width:35%;" title="CS-6-1-2-1-e" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>胎盘和胎膜滞留不伴有出血</div><input placeholder="点击选择" class="Combo" 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style="display:inline-block;width:35%;" title="CS-6-1-2-1-h" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他并发症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342150895812609" itemCode="CS-6-1-2-1-h"><a id="1463342150895812609_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342150895812609_Note"></span></div><div class="itemTR" id="1463342152992964609_Row" dic='[{"formItemId":1463342152992964609,"isDefault":0,"updateDate":1706076726000,"code":"y","matchRule":"","updateUser":"admin","id":1463343656327987201,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463342152992964609,"isDefault":1,"updateDate":1706076726000,"code":"n","matchRule":"","updateUser":"admin","id":1463343658592911361,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CS-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否再次手术</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463342152992964609" itemCode="CS-6-2"></div><a id="1463342152992964609_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342152992964609_Note"></span></div><div class="itemTR" id="1463342155111088129_Row" 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style="display:inline-block;width:35%;" title="CS-7-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>产程和分娩期间并发症所列的名称及ICD.10编码</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342166372794369" itemCode="CS-7-2"><a id="1463342166372794369_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342166372794369_Note"></span></div><div class="itemTR" id="1463342168562221058_Row" 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style="display:inline-block;width:35%;" title="CS-7-2-a" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>ICD-10：P10产伤引起的颅内撕裂和出血</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342168562221058" itemCode="CS-7-2-a"><a id="1463342168562221058_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342168562221058_Note"></span></div><div class="itemTR" id="1463342170692927489_Row" 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style="display:inline-block;width:35%;" title="CS-7-2-b" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>ICD-10：P11产伤致新生儿脑伤</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342170692927489" itemCode="CS-7-2-b"><a id="1463342170692927489_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342170692927489_Note"></span></div><div class="itemTR" id="1463342172802662401_Row" 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style="display:inline-block;width:35%;" title="CS-7-2-c" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>ICD-10：P12头皮产伤</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342172802662401" itemCode="CS-7-2-c"><a id="1463342172802662401_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342172802662401_Note"></span></div><div class="itemTR" id="1463342175134695426_Row" 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style="display:inline-block;width:35%;" title="CS-7-2-d" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>ICD-10：P13颅骨产伤</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342175134695426" itemCode="CS-7-2-d"><a id="1463342175134695426_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342175134695426_Note"></span></div><div class="itemTR" id="1463342177290567681_Row" 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style="display:inline-block;width:35%;" title="CS-7-2-e" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>ICD-10：P14神经产伤</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342177290567681" itemCode="CS-7-2-e"><a id="1463342177290567681_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342177290567681_Note"></span></div><div class="itemTR" id="1463342179391913985_Row" 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style="display:inline-block;width:35%;" title="CS-7-2-f" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>ICD-10：P15其他产伤</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342179391913985" itemCode="CS-7-2-f"><a id="1463342179391913985_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342179391913985_Note"></span></div><div class="itemTR" id="1463342181610700802_Row" dic='[{"formItemId":1463342181610700802,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343741199728642,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463342181610700802,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343741988257793,"indNo":2,"isActive":1,"desc":"P20.0在产程开始前首先察觉到的子宫内低氧症"},{"formItemId":1463342181610700802,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343742948753410,"indNo":3,"isActive":1,"desc":"P20.1在产程和分娩中首先察觉到的子宫内低氧症"},{"formItemId":1463342181610700802,"isDefault":0,"updateDate":1706076726000,"code":"c","id":1463343743758254082,"indNo":4,"isActive":1,"desc":"P20.9未特指的子宫内低氧症"}]'><div style="display:inline-block;width:35%;" title="CS-7-2-g" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>ICD-10：P20子宫内低氧症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342181610700802" itemCode="CS-7-2-g"><a id="1463342181610700802_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342181610700802_Note"></span></div><div class="itemTR" id="1463342183724630017_Row" dic='[{"formItemId":1463342183724630017,"isDefault":0,"updateDate":1706076726000,"code":"def","id":1463343745343700993,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463342183724630017,"isDefault":0,"updateDate":1706076726000,"code":"a","id":1463343746132230145,"indNo":2,"isActive":1,"desc":"P21.0严重的出生窒息"},{"formItemId":1463342183724630017,"isDefault":0,"updateDate":1706076726000,"code":"b","id":1463343746950119425,"indNo":3,"isActive":1,"desc":"P21.1轻度和中度出生窒息"},{"formItemId":1463342183724630017,"isDefault":0,"updateDate":1706076726000,"code":"c","id":1463343747768008705,"indNo":4,"isActive":1,"desc":"P21.9未特指的出生窒息"}]'><div style="display:inline-block;width:35%;" title="CS-7-2-h" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>ICD-10：P21出生窒息</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342183724630017" itemCode="CS-7-2-h"><a id="1463342183724630017_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342183724630017_Note"></span></div><div class="itemTR" id="1463342187239456769_Row" dic='[{"formItemId":1463342187239456769,"isDefault":0,"updateDate":1706076726000,"code":"y","matchRule":"","updateUser":"admin","id":1463343749328289794,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463342187239456769,"isDefault":1,"updateDate":1706076726000,"code":"n","matchRule":"","updateUser":"admin","id":1463343750221676546,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CS-7-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>新生儿是否有先天性畸形、变形和染色体异常</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463342187239456769" itemCode="CS-7-3"></div><a id="1463342187239456769_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342187239456769_Note"></span></div><div class="itemTR" id="1463342189428883458_Row" 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style="display:inline-block;width:35%;" title="CS-7-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>新生儿：先天性畸形、变形和染色体异常的名称及ICD.10编码</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342189428883458" itemCode="CS-7-4"><a id="1463342189428883458_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342189428883458_Note"></span></div></div><div class="itemCat" id="Title8" onclick="objScreen.toggle('CS-8 提供母乳喂养教育情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CS-8 提供母乳喂养教育情况</div><div title="CS-8 提供母乳喂养教育情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463342191874162690_Row" 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placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342259213713410" itemCode="CM-5-2-5"><a id="1463342259213713410_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342259213713410_Note"></span></div><div class="itemTR" id="1463342261348614146_Row" dic='[{"formItemId":1463342261348614146,"isDefault":0,"updateDate":1706076726000,"code":"def","matchRule":"","updateUser":"admin","id":1463343940731158530,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463342261348614146,"isDefault":1,"updateDate":1706076726000,"code":"a","matchRule":"","updateUser":"admin","id":1463343942027198465,"indNo":2,"isActive":1,"keyword":"","desc":"患者说他们的医生“总是”很好沟通"},{"formItemId":1463342261348614146,"isDefault":0,"updateDate":1706076726000,"code":"b","matchRule":"","updateUser":"admin","id":1463343944359231489,"indNo":3,"isActive":1,"keyword":"","desc":"患者说他们的医生“经常”很好沟通"},{"formItemId":1463342261348614146,"isDefault":0,"updateDate":1706076726000,"code":"c","matchRule":"","updateUser":"admin","id":1463343946334748673,"indNo":4,"isActive":1,"keyword":"","desc":"患者说他们的医生“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>医生沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342261348614146" itemCode="CM-5-2-6"><a id="1463342261348614146_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342261348614146_Note"></span></div><div class="itemTR" id="1463342263479320577_Row" dic='[{"formItemId":1463342263479320577,"isDefault":0,"updateDate":1706076726000,"code":"def","matchRule":"","updateUser":"admin","id":1463343949354647554,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463342263479320577,"isDefault":1,"updateDate":1706076726000,"code":"a","matchRule":"","updateUser":"admin","id":1463343950457749505,"indNo":2,"isActive":1,"keyword":"","desc":"患者说他们的护士“总是”很好沟通"},{"formItemId":1463342263479320577,"isDefault":0,"updateDate":1706076726000,"code":"b","matchRule":"","updateUser":"admin","id":1463343951346941953,"indNo":3,"isActive":1,"keyword":"","desc":"患者说他们的护士“经常”很好沟通"},{"formItemId":1463342263479320577,"isDefault":0,"updateDate":1706076726000,"code":"c","matchRule":"","updateUser":"admin","id":1463343952286466049,"indNo":4,"isActive":1,"keyword":"","desc":"患者说他们的护士“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护士沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342263479320577" itemCode="CM-5-2-7"><a id="1463342263479320577_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342263479320577_Note"></span></div><div class="itemTR" id="1463342266822180866_Row" dic='[{"formItemId":1463342266822180866,"isDefault":0,"updateDate":1706076726000,"code":"def","matchRule":"","updateUser":"admin","id":1463343954022907905,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463342266822180866,"isDefault":1,"updateDate":1706076726000,"code":"a","matchRule":"","updateUser":"admin","id":1463343954832408577,"indNo":2,"isActive":1,"keyword":"","desc":"患者说医院员工在给药前“总是”进行药品说明"},{"formItemId":1463342266822180866,"isDefault":0,"updateDate":1706076726000,"code":"b","matchRule":"","updateUser":"admin","id":1463343955612549122,"indNo":3,"isActive":1,"keyword":"","desc":"患者说医院员工在给药前“经常”进行药品说明"},{"formItemId":1463342266822180866,"isDefault":0,"updateDate":1706076726000,"code":"c","matchRule":"","updateUser":"admin","id":1463343956392689666,"indNo":4,"isActive":1,"keyword":"","desc":"患者说医院员工在给药前“有时”或“从不”进行药品说明"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>药师沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342266822180866" itemCode="CM-5-2-8"><a id="1463342266822180866_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342266822180866_Note"></span></div><div class="itemTR" id="1463342268965470209_Row" dic='[{"formItemId":1463342268965470209,"isDefault":0,"updateDate":1706076726000,"code":"def","matchRule":"","updateUser":"admin","id":1463343958028468225,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463342268965470209,"isDefault":1,"updateDate":1706076726000,"code":"a","matchRule":"","updateUser":"admin","id":1463343958833774594,"indNo":2,"isActive":1,"keyword":"","desc":"患者说医生护士已经提供了出院后在家康复期间应该做什么的信息"},{"formItemId":1463342268965470209,"isDefault":0,"updateDate":1706076726000,"code":"b","matchRule":"","updateUser":"admin","id":1463343959618109442,"indNo":3,"isActive":1,"keyword":"","desc":"患者说医生护士说了出院后要在家做康复，但没有理解应该具体如何做"},{"formItemId":1463342268965470209,"isDefault":0,"updateDate":1706076726000,"code":"c","matchRule":"","updateUser":"admin","id":1463343960465358850,"indNo":4,"isActive":1,"keyword":"","desc":"患者说医生护士没有提供出院后在家康复期间应该做什么的信息"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复计划</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342268965470209" itemCode="CM-5-2-9"><a id="1463342268965470209_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342268965470209_Note"></span></div><div class="itemTR" id="1463342272744538114_Row" dic='[{"formItemId":1463342272744538114,"isDefault":0,"updateDate":1706076726000,"code":"def","matchRule":"","updateUser":"admin","id":1463343962214383617,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463342272744538114,"isDefault":1,"updateDate":1706076726000,"code":"a","matchRule":"","updateUser":"admin","id":1463343963057438721,"indNo":2,"isActive":1,"keyword":"","desc":"患者强烈同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463342272744538114,"isDefault":0,"updateDate":1706076726000,"code":"b","matchRule":"","updateUser":"admin","id":1463343963988574210,"indNo":3,"isActive":1,"keyword":"","desc":"患者同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463342272744538114,"isDefault":0,"updateDate":1706076726000,"code":"c","matchRule":"","updateUser":"admin","id":1463343964932292610,"indNo":4,"isActive":1,"keyword":"","desc":"患者在离院时不理解医生护士的知情告知"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院时的知情告知</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342272744538114" itemCode="CM-5-2-10"><a id="1463342272744538114_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342272744538114_Note"></span></div><div class="itemTR" id="1463342274984296449_Row" dic='[{"formItemId":1463342274984296449,"isDefault":0,"updateDate":1706076726000,"code":"def","matchRule":"","updateUser":"admin","id":1463343968795246593,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463342274984296449,"isDefault":1,"updateDate":1706076726000,"code":"a","matchRule":"","updateUser":"admin","id":1463343969801879553,"indNo":2,"isActive":1,"keyword":"","desc":"患者给医院膳食评分9或10分"},{"formItemId":1463342274984296449,"isDefault":0,"updateDate":1706076726000,"code":"b","matchRule":"","updateUser":"admin","id":1463343970598797314,"indNo":3,"isActive":1,"keyword":"","desc":"患者给医院膳食评分7或8分"},{"formItemId":1463342274984296449,"isDefault":0,"updateDate":1706076726000,"code":"c","matchRule":"","updateUser":"admin","id":1463343971416686593,"indNo":4,"isActive":1,"keyword":"","desc":"患者给医院膳食评分6分及以下"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>膳食评价</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342274984296449" itemCode="CM-5-2-11"><a id="1463342274984296449_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342274984296449_Note"></span></div></div><div class="itemCat" id="Title13" onclick="objScreen.toggle('CS-13 住院费用')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CS-13 住院费用</div><div title="CS-13 住院费用"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463342277081448450_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342277081448450" itemCode="CM-6-1"><a id="1463342277081448450_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342277081448450_Note"></span></div><div class="itemTR" id="1463342280193622018_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用其中自付金额</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342280193622018" itemCode="CM-6-2"><a id="1463342280193622018_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342280193622018_Note"></span></div><div class="itemTR" id="1463342282278191105_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般医疗服务费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342282278191105" itemCode="CM-6-3"><a id="1463342282278191105_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342282278191105_Note"></span></div><div class="itemTR" id="1463342284396314625_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般治疗操作费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342284396314625" itemCode="CM-6-4"><a id="1463342284396314625_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342284396314625_Note"></span></div><div class="itemTR" id="1463342286539603970_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护理费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342286539603970" itemCode="CM-6-5"><a id="1463342286539603970_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342286539603970_Note"></span></div><div class="itemTR" id="1463342288636755970_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>综合医疗服务类其他费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342288636755970" itemCode="CM-6-6"><a id="1463342288636755970_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342288636755970_Note"></span></div><div class="itemTR" id="1463342290876514306_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病理诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342290876514306" itemCode="CM-6-7"><a id="1463342290876514306_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342290876514306_Note"></span></div><div class="itemTR" id="1463342293065940994_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实验室诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342293065940994" itemCode="CM-6-8"><a id="1463342293065940994_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342293065940994_Note"></span></div><div class="itemTR" id="1463342296685625346_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>影像学诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342296685625346" itemCode="CM-6-9"><a id="1463342296685625346_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342296685625346_Note"></span></div><div class="itemTR" id="1463342298807943169_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床诊断项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342298807943169" itemCode="CM-6-10"><a id="1463342298807943169_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342298807943169_Note"></span></div><div class="itemTR" id="1463342300892512258_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>非手术治疗项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342300892512258" itemCode="CM-6-11"><a id="1463342300892512258_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342300892512258_Note"></span></div><div class="itemTR" id="1463342303006441473_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：临床物理治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342303006441473" itemCode="CM-6-12"><a id="1463342303006441473_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342303006441473_Note"></span></div><div class="itemTR" id="1463342305111982081_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342305111982081" itemCode="CM-6-13"><a id="1463342305111982081_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342305111982081_Note"></span></div><div class="itemTR" id="1463342307213328385_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：麻醉费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342307213328385" itemCode="CM-6-14"><a id="1463342307213328385_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342307213328385_Note"></span></div><div class="itemTR" id="1463342309432115202_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：手术费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342309432115202" itemCode="CM-6-15"><a id="1463342309432115202_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342309432115202_Note"></span></div><div class="itemTR" id="1463342312582037505_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-16" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342312582037505" itemCode="CM-6-16"><a id="1463342312582037505_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342312582037505_Note"></span></div><div class="itemTR" id="1463342315857788929_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-17" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中医治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342315857788929" itemCode="CM-6-17"><a id="1463342315857788929_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342315857788929_Note"></span></div><div class="itemTR" id="1463342317996883969_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-18" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>西药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342317996883969" itemCode="CM-6-18"><a id="1463342317996883969_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342317996883969_Note"></span></div><div class="itemTR" id="1463342320110813186_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：抗菌药物费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342320110813186" itemCode="CM-6-19"><a id="1463342320110813186_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342320110813186_Note"></span></div><div class="itemTR" id="1463342322258296834_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-20" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中成药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342322258296834" itemCode="CM-6-20"><a id="1463342322258296834_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342322258296834_Note"></span></div><div class="itemTR" id="1463342324355448833_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-21" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中草药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342324355448833" itemCode="CM-6-21"><a id="1463342324355448833_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342324355448833_Note"></span></div><div class="itemTR" id="1463342326481960962_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-22" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342326481960962" itemCode="CM-6-22"><a id="1463342326481960962_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342326481960962_Note"></span></div><div class="itemTR" id="1463342328625250305_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-23" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>白蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342328625250305" itemCode="CM-6-23"><a id="1463342328625250305_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342328625250305_Note"></span></div><div class="itemTR" id="1463342330969866241_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-24" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>球蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342330969866241" itemCode="CM-6-24"><a id="1463342330969866241_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342330969866241_Note"></span></div><div class="itemTR" id="1463342334228840450_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-25" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>凝血因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342334228840450" itemCode="CM-6-25"><a id="1463342334228840450_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342334228840450_Note"></span></div><div class="itemTR" id="1463342337341014017_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-26" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>细胞因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342337341014017" itemCode="CM-6-26"><a id="1463342337341014017_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342337341014017_Note"></span></div><div class="itemTR" id="1463342340428021761_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-27" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>检查用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342340428021761" itemCode="CM-6-27"><a id="1463342340428021761_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342340428021761_Note"></span></div><div class="itemTR" id="1463342342705528834_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-28" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342342705528834" itemCode="CM-6-28"><a id="1463342342705528834_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342342705528834_Note"></span></div><div class="itemTR" id="1463342344823652354_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-29" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342344823652354" itemCode="CM-6-29"><a id="1463342344823652354_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342344823652354_Note"></span></div><div class="itemTR" id="1463342346933387265_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-30" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463342346933387265" itemCode="CM-6-30"><a id="1463342346933387265_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463342346933387265_Note"></span></div></div></div></div><div id='anchor' class='anchor'><ul class='anchor-list'><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title0'>基本信息</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title1'>CS-1剖宫产术前评估</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title2'>CS-2 手术指征</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title3'>CS-3 手术前预防性抗菌药物选用一、二代头孢菌素</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title4'>CS-4 新生儿Apgar评分</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title5'>CS-5 输血量</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title6'>CS-6 手术并发症与再次手术情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title7'>CS-7 手术相关新生儿并发症</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title8'>CS-8 提供母乳喂养教育情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title9'>CS-9 住院期间为产妇提供术前、术后健康教育与出院时提供教育告知五要素情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title10'>CS-10 手术切口愈合情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title11'>CS-11 离院方式</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title12'>CS-12 患者对服务的体验与评价</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title13'>CS-13 住院费用</a></li></ul></div>
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